A paper by Dr.Miriam Laugesen, assistant professor of Health Policy and Management at the Mailman School of Public Health, points to critical weaknesses in the process used by the American Medical Association’s Relative Value Scale Update Committee to set compensation rates for physician services for Medicare and in turn for commercial payers. Following on the heels of a recent Public Citizen report, Dr. Laugesen’s paper points to “questionable data, selectively used” — including small and non-random samples and the selective use of data. Arguing that it’s “time for a change,” she makes several recommendations to strengthen the integrity of the process, including first, “to insist on surveys that meet scientific protocols.”
[Photo: Dr.Miriam Laugesen]
Read the paper published by the National Institute for Health Care Management Foundation.